Individual provider Active NPI

Jessica A. Robbins, BCABA, LABA

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1497010607
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0-06-2061 Issued in MA
Practice address
3130 S Durango Dr Ste 425
Las Vegas, NV 89117-4455
Phone
(702) 626-3411
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-06-2061 MA Primary

Addresses

Primary practice location

3130 S Durango Dr Ste 425
Las Vegas, NV 89117-4455

Mailing address

7923 Bartlett Peak St
Las Vegas, NV 89166-5030
Phone (413) 330-3908

Other practice location 1

209 Root Rd
Suite #2
Westfield, MA 01085-9832
Phone (413) 568-3942

Other names 1

  • Jessica A. Wozniak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497010607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7923 BARTLETT PEAK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891665030",
            "telephone_number": "413-330-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 S DURANGO DR STE 425",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174455",
            "telephone_number": "702-626-3411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Root Rd",
            "address_2": "Suite #2",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "MA",
            "postal_code": "010859832",
            "country_code": "US",
            "telephone_number": "413-568-3942",
            "fax_number": "413-568-5983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "JESSICA",
        "middle_name": "A.",
        "credential": "BCABA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "0-06-2061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WOZNIAK",
            "middle_name": "A.",
            "credential": "BCABA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.